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1457647539
JAY ADAM DEHART
CHICAGO, IL
NPI
1457647539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019028711)
Enumeration Date
2011-06-27
Last Update Date
2011-06-30
Business Address
Dr. JAY ADAM DEHART D.D.S
4516 S DAMEN AVE
CHICAGO, IL 60609-3013
Phone number: 920-838-1649
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Mailing Address
Dr. JAY ADAM DEHART D.D.S
430 W ERIE ST SUITE 200
CHICAGO, IL 60654-6914
Phone number:
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